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PMOS
ENDOMETRIOSIS
At least 1 in 7 people assigned female at birth in Australia live with endometriosis — many without a diagnosis.
Around 1 in 10 women have PMOS (Polyendocrine Metabolic Ovarian Syndrome), affecting periods, hormones, fertility, and long-term metabolic health.
The average time to receive an endometriosis diagnosis in Australia is 7 years. Early assessment matters.
If your period is making it hard to get through work, school, exercise, or social plans, it is worth being assessed. Heavy bleeding or period pain that is affecting your quality of life is not something you should just have to put up with, and many women in Sydney wait far too long before seeking help.
Endometriosis is a common chronic condition where tissue similar to the lining of the uterus grows outside the uterus, leading to inflammation, pain, and sometimes scarring. Treatment may include pain relief, hormonal treatment, pelvic physiotherapy, lifestyle support, and, when needed, referral for further imaging or specialist surgical opinion.
PMOS (Polyendocrine Metabolic Ovarian Syndrome) is a common hormonal condition that can affect periods, ovulation, skin, hair, weight, mental health, and fertility. Over time it can be linked with increased metabolic risks including insulin resistance, type 2 diabetes, high cholesterol, and high blood pressure.
The good news is that these risks are not fixed, and with education, monitoring, lifestyle support, and hormonal treatment, there is a lot we can do.
The most helpful place to start is a careful cycle history, ideally supported by at least 3 months of cycle tracking. Depending on your symptoms, we may arrange blood tests and a pelvic ultrasound to look for underlying causes such as fibroids, polyps, adenomyosis, endometriosis, or thyroid issues.
Not always. Many women find significant relief through hormonal or non-hormonal medical management before surgery is even considered.
PMOS
PCOS finally has a new name! The condition is now Polyendocrine Metabolic Ovarian Syndrome, or PMOS, after an Australian-led international effort to retire a name built on "cysts" that were never cysts at all. The new name recognises what women with the condition have always lived: this is a whole-body condition, affecting insulin, metabolism, skin, weight, sleep, and mental health, not just ovaries.
It also describes how we have always treated it. At Sydney Women's Wellness, PMOS is treated by our GP's with our dietitian and psychology team alongside, because a whole-body condition deserves whole-woman care.
Endometriosis
Endometriosis affects around one in seven Australian women, yet it still takes years, often the better part of a decade, to be diagnosed. Not because it is rare, but because its main symptom has been so widely accepted as normal. Period pain that costs you days of every month, that interrupts work, study, sleep, or sex, is not "just part of being a woman". It is a signal worth investigating.
At Sydney Women's Wellness, we take pelvic pain seriously the first time you mention it. Your GP will listen, examine, investigate, and refer when surgery or specialist care is needed, with our dietitian and psychology team alongside, because persistent pain affects far more than the pelvis. If your pain has been dismissed before, it won't be dismissed here.
Book a PMOS or Endometriosis appointment at our Greenwich clinic today.
Most women with PMOS can have children, though some need support to get there. It is one of the most treatable causes of difficulty conceiving, and there is a clear pathway, from cycle tracking and ovulation support through to specialist fertility care if needed.
Common signs include irregular or infrequent periods, acne that persists well past adolescence, excess facial or body hair, thinning scalp hair, and weight that is difficult to shift despite real effort. Some women have many of these, some only one or two, and some discover it while trying to conceive. If any of this sounds familiar, it is worth an assessment, as PMOS is a very treatable condition, as long as we know what we are treating.
They are related, but not the same. In endometriosis, tissue similar to the uterine lining grows outside the uterus, on the ovaries, pelvic lining, bowel, or bladder. In adenomyosis, similar tissue grows within the muscle wall of the uterus itself, often causing heavy, painful periods. They can look similar, and sometimes can occur together. Working out which is which, or whether it is both, is where good care starts.
No. The Pill has long been the default for both conditions, and while it remains one of the most effective tools we have, it is not the right choice for every woman. For PMOS, treatment focuses on improving insulin resistance, targeted care for skin and hair changes, dietetic and psychological support, as well as uterine health and ovulation support when you are trying to conceive. For endometriosis, we have multiple other hormonal approaches, such as progestogens and hormonal IUDs, which we use alongside pain management, pelvic physiotherapy, and surgery when needed. For the right woman, we are happily pro-Pill. But it is always a discussion that starts with an honest review of the evidence, weighed against your preferences and any side effects you have had before, so the plan you leave with is personalised and comprehensive, not a default "here's a script for the Pill".
